Coronavirus Disease 2019

Coronavirus Disease 2019

Updated September 23, 2020

Livingston County Health Department (LCHD) is closely monitoring an outbreak of respiratory illness caused by a novel (new) coronavirus (COVID-19). The virus was first detected in Wuhan City, Hubei Province, China and continues to expand globally. The most up-to-date information on the situation is available from the Centers for Disease Control and Prevention (CDC).

On July 17, Governor Gretchen Whitmer signed executive order 2020-153. In summary, the order:

  • Requires individuals to wear a face covering whenever they are in an indoor public space;
  • Requires the use of face coverings in crowded outdoor spaces;
  • Requires any business that is open to the public to refuse entry or service to people who refuse to wear a face covering, with limited exceptions; and
  • Makes willful violations subject to a $500 criminal penalty. Note: No individual is subject to penalty under the order for removing a mask while engaging in religious worship at a house of religious worship. Congregants are strongly encouraged to wear face coverings during religious services.

The requirement to wear a face covering does not apply to individuals who:

  • Are younger than five years old, though children two years old and older are strongly encouraged to wear a face covering, pursuant to guidance from the Centers for Disease Control and Prevention (CDC);
  • Cannot medically tolerate a face covering;
  • Are eating or drinking while seated at a food service establishment;
  • Are receiving a service for which temporary removal of the face covering is necessary to perform the service;
  • Are entering a business or are receiving a service and are asked to temporarily remove a face covering for identification purposes;
  • Are communicating with someone who is hearing impaired or otherwise disabled and where the ability to see the mouth is essential to communication;
  • Are actively engaged in a public safety role, including but not limited to law enforcement, firefighters, or emergency medical personnel;
  • Are at a polling place for purposes of voting in an election;
  • Are officiating at a religious service; or
  • Are giving a speech for broadcast or an audience.

Governor Gretchen Whitmer’s MI Safe Start Plan outlines how we will begin to re-engage while continuing to keep our communities safe. Re-engagement will happen in phases. As we move into lower-risk phases, additional business categories will re-open and the restrictions on public gatherings and social interactions will ease.

COVID-19 Case Information

Confirmed Michigan Cases
Total Livingston County Cases

COVID-19 Cases in Livingston County Residents

Confirmed CasesProbable Cases
Data source: Michigan Disease Surveillance System (MDSS)

Local Response Actions

COVID-19 is spreading in Livingston County. By working together, we can slow it down and save lives. Everyone, young and old, should limit your trips, wear a mask or cloth face covering, and stay at least six feet apart from others. Wash your hands frequently and don’t touch your face. Our individual actions affect the health of our entire community. Social distancing can reduce the spread of disease, prevent our healthcare system from being overburdened, and protect the most vulnerable members in our community from infection. What we do as a community protects us all.
The Livingston County Health Department continues to respond aggressively to COVID-19 to keep our residents updated, informed, and safe during this challenging time. Our staff are conducting case investigations, contact tracing and monitoring; disease surveillance and control; and providing situational updates and guidance to the public, media and partners. We are committed to ensuring that Livingston County residents, partners, elected officials, and the media get trusted, accurate information about our local situation and response.


Symptoms of coronavirus disease 2019 (COVID-19) may appear 2-14 days after exposure and can include:
  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Headache
  • Muscle or body aches
  • Sore throat
  • New loss of taste or smell
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea
Individuals who are concerned about their health and experiencing respiratory illness or other concerning symptoms, should call their healthcare provider to discuss their symptoms. The CDC's Coronavirus Self-Checker can help you make decisions about seeking appropriate medical care.  Also, consider reading What to Do If You Are Sick with Coronavirus Disease 2019 (COVID-19).

If you develop emergency warning signs for COVID-19 get medical attention immediately. Emergency warning signs include*:

  • Trouble breathing
  • Persistent pain or pressure in the chest
  • New confusion or inability to arouse
  • Bluish lips or face

*This list is not all-inclusive. Please consult your medical provider for any other symptoms that are severe or concerning.

How it Spreads

The virus that causes COVID-19 is spreading very easily and sustainably between people. The virus is thought to spread mainly from person-to-person. This spread can occur between people who are in close contact with one another (within about 6 feet), or through respiratory droplets produced when an infected person coughs, sneezes, or talks. These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.
COVID-19 may be spread by people who are not showing symptoms. Maintaining good social distance of at least six feet is very important in preventing the spread of COVID-19.
It may also be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes, but this is not thought to be the main way the virus spreads.

You cannot tell if someone has a risk of spreading novel coronavirus by what they look like. Stereotypes and discrimination harm public health.


There is currently no vaccine to prevent coronavirus disease 2019 (COVID-19). The best way to prevent illness is to avoid being exposed to this virus. You can prevent the spread of illness by practicing everyday healthy habits.
  • Reduce your risk.
  • Stay home when you are sick.
  • Clean your hands often.
    • Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.
    • If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.
    • Avoid touching your eyes, nose, and mouth with unwashed hands.
  • Practice social distancing.
    • Avoid close contact with others, especially with people who are sick.
    • Put a distance of at least 6 feet between yourself and other people (social distancing).
      • Remember that some people without symptoms may be able to spread virus.
  • Wear a face mask or cloth face covering.
    • Wear a cloth face cover when you have to go out in public, for example to the grocery store or to pick up other necessities. (Cloth face coverings should not be placed on young children under age 2, anyone who has trouble breathing, or is unconscious, incapacitated or otherwise unable to remove the mask without assistance.)
    • Under the Governor's executive order 2020-153, any individual able to medically tolerate a face covering must wear a covering over his or her nose and mouth when in any enclosed public space.
    • You could spread COVID-19 to others even if you do not feel sick. The cloth face cover is meant to protect other people in case you are infected.
    • Continue to keep a distance of at least six feet between yourself and others. The cloth face cover is not a substitute for social distancing.
    • Learn how to make and wear your own face covering.
    • Learn how to properly use your cloth face covering.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash. Immediately wash your hands.
  • Clean and disinfect.
    • Clean and disinfect frequently touched objects and surfaces daily. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks.
    • If surfaces are dirty, clean them. Use detergent or soap and water prior to disinfection.
    • A list of disinfectants for use against SARS-CoV-2 (the virus that causes the COVID-19 disease) is available from the Environmental Protection Agency (EPA). This list includes many commonly used products.
  • Continue to stay home and work from home when you can.


Who should get tested?
Some people are being prioritized for testing to ensure optimal care for hospitalized patients and those at highest risk and to lessen the risk of health-care associated infections. See current MDHHS priorities for testing patients with suspected COVID-19 infection. Call your healthcare provider if you think you should be tested.
How can I get tested?
Testing is ongoing by local health care providers. Individuals with concerns or symptoms should call their health care provider about testing. If you do not have a primary care provider, some urgent cares and health systems are providing testing (see below). Always call before arriving. This will allow the health care provider to prepare for your arrival.
Where can I get tested?
Call your health care provider first.
Drive-up testing:
Other testing locations:

Clinician Information
Clinicians should decide which patients receive testing based on the local epidemiology of COVID-19, as well as the clinical course of illness. Clinicians are strongly encouraged to test for other causes of respiratory illness, including infections such as influenza. If sending specimen to MDHHS lab, a Person Under Investigation (PUI) Form must be completed, faxed to LCHD at 517-545-9685, and accompany the specimen (COVID-19 Specimen Packaging and Shipping Info). Clinicians with questions can call LCHD at 517-546-9850. More information on testing criteria can be found at

Travel Information

Travel increases your chance of getting and spreading COVID-19. Staying home is the best way to protect yourself and others from COVID-19. Depending on your unique circumstances, you may choose to delay or cancel your plans. If you are arriving in Livingston County, Michigan after traveling internationally, please plan to self-quarantine for 14 days upon arrival. Don’t travel if you are sick or if you have been around someone with COVID-19 in the past 14 days. For the most up to date travel information, view travel alerts through the CDC.

Resources for More Information

Health and COVID-19 Questions:
Executive Order Questions and Complaints:
Livingston County Health Department:
Michigan Department of Health and Human Services:
Michigan Attorney General:
Long-term Care Facility Complaints:
Michigan Department of Licensing and Regulatory Affairs: